人有忽然呃逆不止，为是寒气相感，谁知是气逆而寒入之也。然气之所以不顺，乃气之
不足也。盖丹田之气足，则气守于下焦而气顺，丹田之气不足，则气奔于上焦而气逆矣。呃
逆虽是小症，然治之不得法，往往有变成危症，而不可救，正徒散其寒而不补其气也。治法
宜大补其丹田之气，而少佐之以祛寒之药。则气旺而可以接续，寒祛而足以升提，故不必止
呃逆而呃逆遂自止也。方用定呃汤∶
人参（三钱） 白术（五钱） 丁香（五分） 陈皮（五分） 茯苓（五钱） 沉香末（一钱） 牛膝（一钱） 水
煎服。一剂而呃逆止矣。
参、苓、白术纯是补气回阳之药，丁香祛寒，沉香、牛膝降入丹田以止其逆，逆气既回
，而呃声自定。孰谓补气之药，非即转气之汤哉!
此症用加味六君子汤亦妙。
人参 半夏 苏叶（各一钱） 白术 茯苓（各三钱） 陈皮（五分） 甘草（三分） 丁香（二分） 水
煎服。一剂即止呃，二剂全愈。
人有痰气不清，一时作呃逆之声者，人以为火逆作祟也。夫火逆之痰，口必作渴，今不
渴而呃逆，仍是痰气之故，而非火邪之祟也。夫痰在胃口，而呃逆在丹田，何以能致此耶?
盖丹田之气欲升，而痰结胸中以阻之。此种呃逆较虚呃者甚轻，治法消其痰气，而呃逆自除
，方用二陈汤加减治之。
人参（五分） 陈皮（五分） 半夏（一钱） 甘草（三分） 浓朴（一钱） 茯苓（三钱）
水煎服。一剂即愈。
二陈汤为治痰之妙剂，加入人参、浓朴于补气之中而行降气之药，自能祛痰于上焦，达
气于下焦也。
此症亦可用加味六君子汤治之。
人有口渴饮水忽然呃逆者，非水气之故，乃火气之逆也。人若胃火太盛，必大渴呼水矣
，今但渴而不大饮水者，乃胃火微旺，而胃气犹虚也。故饮水虽快，而多则不能易消，火上
冲而作呃逆耳。治法宜补其胃中之土，而降其胃中之火，则胃气之安，而胃火自息，呃逆亦
自止矣。方用平呃散∶
玄参 白术（各五钱） 人参（二钱） 茯苓 甘菊花 麦冬（各三钱） 甘草（五分）
水煎服。一剂即平。
此方降胃火而又不耗胃气，所以奏功实神。倘以为胃火之盛，而轻用石膏，虽亦能取胜
，而终于胃土有伤，呃逆除而他病又生矣，不若此方之和平而又神也。
此症用两宜汤亦妙。
人参（二钱） 茯苓 白术（各五钱） 甘草 泽泻 黄连（各一钱） 肉桂（三分） 陈皮（五分） 天花
粉（二钱） 柴胡（三分）
水煎服。二剂愈。
人有气恼之后，肝又血燥，肺又气热，一时呃逆而不止，人以为火动之故也，谁知亦是
气逆而不舒乎。盖肝性最急，一拂其意，则气必下克脾土，而脾土气闭，则腰脐之间不通，
气乃上奔于咽喉，而作呃逆矣。倘亦用降火降气之药，则呃逆更甚，必须用散郁之剂，而佐
以消痰润肺之药，始为得之。方用解呃丹∶
茯神（三钱） 白芍（三钱） 当归（二钱） 白术（五钱） 苏叶（五分） 麦冬（五钱） 白芥子（三
钱） 柴胡（一钱）
水煎服。一剂而呃逆即止。
此方为散郁之神方，不特治呃逆已也。用白术以利腰脐之气，用柴、芍、当归以舒肝胆
之气，用苏叶、麦冬以润肺金之气，用茯神以通心与膀胱之气，用白芥子以宣膜膈之气，是
一身上下之气尽行流通，又何虞下焦之气不上升于咽喉乎!故一剂而收功也。
此症亦可用平顺散∶
柴胡 甘草 乌药（各一钱） 白芍（三钱） 香附 白芥子 川芎（各二钱） 砂仁（一粒）
水煎服。二剂即止。
人有呃逆时作时止者，乃气虚而非气滞也。夫气旺则顺，气衰则逆，五行之道也，凡逆
之至者，皆衰之极耳。惟是气衰而呃逆者，不比痰呃与火呃也，补其气之虚，而呃逆自止。
倘不知补气，而惟从事于消痰降火，则轻必变重，而重必入死矣。况痰火之呃，亦虚而致，
不惟寒呃之成于虚也。方用六君子汤加减治之。
人参（三钱） 白术（一两） 茯苓（三钱） 陈皮（一钱） 甘草（三分） 半夏（二钱） 柿蒂（三枚）
水煎服。连服三剂而呃逆自除。
此方乃治胃之圣剂，胃气弱而诸气皆弱，胃气旺而诸气皆旺，故补胃气正所以补诸气也
，气既旺矣。加以柿蒂之能转呃，自然气转于须臾，而呃逆顿止矣。且胃又多气之腑也，诸
气之逆皆从胃始，然则诸气之顺，何独不由胃始哉。
此症亦可用加味术苓汤∶
人参 白术（各五钱） 茯苓（三钱） 半夏（二钱） 竹沥（一合） 附子（三分）
水煎服。二剂愈。
There are cases where a person suddenly suffers from intractable hiccups. It is often attributed to the mutual influence of cold pathogenic factors, but who realizes that this is actually due to rebellious Qi allowing cold to enter? The reason why Qi fails to flow smoothly lies in its deficiency. When Qi in the Dantian (lower abdomen energy center) is sufficient, it remains anchored in the Lower Jiao (lower burner), resulting in smooth Qi flow; however, when Dantian Qi is insufficient, it rushes upward to the Upper Jiao (upper burner), causing Qi rebellion. Although hiccuping is a minor condition, improper treatment can often lead to critical conditions that are incurable. This usually happens because one merely disperses cold without tonifying Qi. The treatment method should focus on greatly tonifying Dantian Qi, with a small addition of herbs that dispel cold. With abundant Qi, continuity is maintained; with dispelled cold, lifting power is restored. Therefore, there is no need to specifically stop the hiccups; they will cease spontaneously. The formula used is Ding'e Tang (Stabilize Hiccups Decoction): Renshen (Ginseng Radix et Rhizoma, 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Dingxiang (Caryophylli Flos, 0.5 fen), Chenpi (Citri Reticulatae Pericarpium, 0.5 fen), Fuling (Poria, 5 qian), Chenxiang Mu (Aquilariae Lignum Resinatum, 1 qian), Niuxi (Achyranthis Bidentatae Radix, 1 qian). Decoct in water and take orally. One dose stops the hiccups.
Renshen, Fuling, and Baizhu are purely herbs for tonifying Qi and restoring Yang. Dingxiang dispels cold, while Chenxiang and Niuxi guide Qi downward into the Dantian to arrest rebellion. Once the rebellious Qi returns, the sound of hiccups naturally settles. Who says that Qi-tonifying herbs are not also Qi-regulating decoctions!
For this condition, Jiawei Liujunzi Tang (Modified Six Gentlemen Decoction) is also excellent.
Renshen, Banxia (Pinelliae Rhizoma), Suye (Perillae Folium, each 1 qian); Baizhu, Fuling (each 3 qian); Chenpi (0.5 fen); Gancao (Licorice Root, 0.3 fen); Dingxiang (0.2 fen). Decoct in water and take orally. One dose stops hiccups; two doses result in full recovery.
In some cases, phlegm and Qi turbidity cause sudden hiccuping sounds. People assume this is caused by Fire rebellion. However, Phlegm associated with Fire rebellion typically presents with thirst. Since there is no thirst here, it is still due to Phlegm-Qi issues, not Fire pathogens. Phlegm resides at the stomach opening, while hiccups originate from the Dantian. How does this happen? Essentially, Dantian Qi desires to ascend, but Phlegm obstructs the chest. This type of hiccup is much milder than those caused by deficiency. The treatment method is to resolve Phlegm-Qi, after which hiccups will disappear spontaneously. Use Erchen Tang (Two-Aged Decoction) with modifications: Renshen (0.5 fen), Chenpi (0.5 fen), Banxia (1 qian), Gancao (0.3 fen), Houpo (Magnolia Bark, 1 qian), Fuling (3 qian). Decoct in water and take orally. One dose cures it.
Erchen Tang is an excellent formula for treating Phlegm. Adding Renshen and Houpo allows for descending Qi within the context of tonification, naturally clearing Phlegm from the Upper Jiao and unblocking Qi in the Lower Jiao.
This condition can also be treated with Jiawei Liujunzi Tang.
When a person drinks water due to thirst and then suddenly develops hiccups, it is not due to Water Qi but rather rebellious Fire Qi. If Stomach Fire were excessive, there would be extreme thirst and a desire to drink large amounts of water. Here, there is only mild thirst without excessive drinking, indicating slight Stomach Fire hyperactivity combined with underlying Stomach Qi deficiency. Thus, although water is consumed quickly, excess intake cannot be easily digested. The rising Fire causes hiccups. The treatment should tonify Earth in the Stomach and descend Fire in the Stomach. With peaceful Stomach Qi, Stomach Fire subsides, and hiccups stop spontaneously. The formula is Ping'e San (Hiccup-Powder): Xuanshen (Scrophulariae Radix), Baizhu (each 5 qian); Renshen (2 qian); Fuling, Juhua (Chrysanthemi Flos), Maidong (Ophiopogonis Radix, each 3 qian); Gancao (0.5 fen). Decoct in water and take orally. One dose brings relief.
This formula descends Stomach Fire without consuming Stomach Qi, hence its miraculous efficacy. If one assumes excessive Stomach Fire and lightly uses Shigao (Gypsum Fibrosum), victory may be achieved temporarily, but ultimately Stomach Earth will be damaged, leading to other diseases after hiccups cease. This formula is superior as it is both gentle and effective.
For this condition, Liangyi Tang (Two-Appropriate Decoction) is also excellent.
Renshen (2 qian); Fuling, Baizhu (each 5 qian); Gancao, Zexie (Alisma Rhizoma), Huanglian (Coptidis Rhizoma, each 1 qian); Rougui (Cinnamon Bark, 0.3 fen); Chenpi (0.5 fen); Tianhuafen (Trichosanthis Radix, 2 qian); Chaihu (Bupleuri Radix, 0.3 fen). Decoct in water and take orally. Two doses cure it.
After anger or frustration, if the Liver blood becomes dry and Lung Qi becomes hot, sudden persistent hiccups may occur. People attribute this to Fire stirring, but it is actually due to stagnant and unreleased Qi. The Liver nature is urgent; when thwarted, Qi attacks the Spleen Earth downwards. Spleen Qi becomes blocked, preventing circulation between the waist and umbilicus. Qi then rushes upward to the throat, causing hiccups. Using herbs that merely descend Fire and Qi will worsen the hiccups. One must use formulas that dissipate stagnation, assisted by herbs that resolve Phlegm and moisten the Lungs. The formula is Jie'e Dan (Unbind Hiccups Elixir): Fushen (Poria with Hostwood, 3 qian), Baishao (Paeoniae Radix Alba, 3 qian), Danggui (Angelicae Sinensis Radix, 2 qian), Baizhu (5 qian), Suye (0.5 fen), Maidong (5 qian), Baijiezi (Brassicae Semen, 3 qian), Chaihu (1 qian). Decoct in water and take orally. One dose stops hiccups immediately.
This formula is a divine prescription for dissipating stagnation, not only for hiccups. Baizhu benefits Qi in the waist and umbilicus; Chaihu, Baishao, and Danggui soothe Liver-Gallbladder Qi; Suye and Maidong moisten Lung Metal Qi; Fushen unblocks Heart and Bladder Qi; Baijiezi opens Diaphragm Qi. With Qi flowing freely throughout the body, why worry about Lower Jiao Qi failing to rise to the throat? Hence, one dose achieves success.
This condition can also be treated with PingSan San (Level-Flowing Powder): Chaihu, Gancao, Wuyao (Litseae Fructus, each 1 qian); Baishao (3 qian); Xiangfu (Cyperi Rhizoma), Baijiezi, Chuanxiong (Ligustici Chuanxiong Rhizoma, each 2 qian); Sharen (Amomi Fructus, 1 grain). Decoct in water and take orally. Two doses stop hiccups.
When hiccups come and go intermittently, it is due to Qi deficiency, not Qi stagnation. Abundant Qi flows smoothly; deficient Qi rebels. This is the way of the Five Elements. Extreme rebellion indicates extreme deficiency. Deficiency-type hiccups differ from Phlegm-type or Fire-type hiccups. Tonifying deficient Qi stops hiccups spontaneously. Ignoring Qi tonification and focusing only on resolving Phlegm and descending Fire will turn mild cases severe and severe cases fatal. Moreover, Phlegm-Fire hiccups are also caused by deficiency, just as Cold hiccups arise from deficiency. Use Liujunzi Tang (Six Gentlemen Decoction) with modifications: Renshen (3 qian), Baizhu (1 liang), Fuling (3 qian), Chenpi (1 qian), Gancao (0.3 fen), Banxia (2 qian), Shidi (Kaki Calyx, 3 pieces). Decoct in water and take orally. Three consecutive doses remove hiccups naturally.
This formula is a sacred remedy for the Stomach. Weak Stomach Qi leads to weakness in all Qi; robust Stomach Qi leads to robustness in all Qi. Thus, tonifying Stomach Qi is equivalent to tonifying all Qi. With abundant Qi, adding Shidi, which reverses hiccups, ensures Qi turns swiftly, stopping hiccups instantly. Furthermore, the Stomach is the Sea of Qi; all rebellious Qi originates from the Stomach. Therefore, all smooth Qi must also begin with the Stomach.
This condition can also be treated with Jiawei Shu Ling Tang (Modified Baizhu-Poria Decoction): Renshen, Baizhu (each 5 qian), Fuling (3 qian), Banxia (2 qian), Zhuli (Bamboo Sap, 1 he), Fuzi (Aconiti Lateralis Radix Praeparata, 0.3 fen). Decoct in water and take orally. Two doses cure it.